Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $786.31 / $786.31 / $975.04	Facility		$786.31	$786.31	$975.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $968.83 / $1,296.22 / $2,408.56	Facility		$968.83	$1,296.22	$2,408.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,481.00 / $2,306.67 / $4,114.05	Facility		$1,481.00	$2,306.67	$4,114.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,074.52 / $1,487.16 / $1,695.52	Professional		$1,074.52	$1,487.16	$1,695.52
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $314.38 / $314.38 / $314.38	Professional	80	$314.38	$314.38	$314.38
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $314.38 / $314.38 / $314.38	Professional	AS	$314.38	$314.38	$314.38
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00